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Wisconsin rates for HCPCS 86677

Antibody; Helicobacter pylori

Facilitymedian $37 · 10th–90th $13$1820%10%10th90th$37Professionalmedian $16 · 10th–90th $7$540%10%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $46.77 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $52.48
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $10.00 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $25.70
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.38 / $47.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $42.66 / $154.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $14.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $39.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $46.77 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.49 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.00 / $27.54